Ask the Experts | Balance/Dizziness/Vestibular Issues | Medical & Surgical | Vestibular Neuronitis Vestibular Neuronitis Eric Sargent, MD March 3, 2004 Print Question What are the symptoms of vestibular neuronitis? How long does vestibular neuronitis last? How do you get/catch vestibular neuronitis? Answer Vestibular neuronitis or neuritis is characterized by the onset of intense true vertigo over several hours that is usually rotary (i.e., a feeling of spinning). It is usually accompanied by severe nausea and vomiting. Symptoms peak within 24 hours and gradually resolve over several weeks. It classically does not have associated hearing loss, although in some patients a high frequency hearing loss in the affected ear can be measured. Full recovery within 3 months is the norm, but occasional patients remain markedly impaired and never fully compensate. This is more common in the elderly. Recurrences occur in up to 20 - 30 percent. In rare cases, both ears may be affected sequentially, leading to loss of bilateral vestibular reflexes and oscillopsia (a sensation whereby the horizon appears to ''bounce up and down'')Vestibular neuronitis is thought to be a viral reactivation syndrome and attacks seem to follow viral upper respiratory illnesses in some, but not all, patients. Patients with the condition are not considered 'infectious.'BIOEric Sargent, MD, is an Otologist/Neurotologist with the Michigan Ear Institute in Farmington Hills, Michigan. Eric Sargent, MD Related Courses Presenters Don W. Worthington, PhD Bryan J. Layton, AuD Jocelyn Monroe, PT Rhoda Jenson, MS Vestibular Neuritis: Acute Clinical Picture [Text/Transcript Course] Course: #7612 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/0.1; BAA/1.0; CAA/1.0; CASLPA/1.0; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View Editor's note 2/3/11: Dr. Worthington recently reviewed this article and indicated the information is still current and accurate, despite its original publishing date of 2006. -ED.The intent of this article is to present a case study of a 26-year-old male with Vestibular Neuritis who was initially seen during the acute stage of the disease. Vestibular function tests (performed by an audiologist) and vestibular rehabilitation (performed by a physical therapist) were performed on this young man within 3 days of symptom onset and follow-up testing and rehabilitation was performed at 2 weeks-, 5 weeks-, 10 weeks-, and 8 months post acute symptoms. Course Details Presenters Brad A. Stach, PhD Kenneth Bouchard, PhD Ashley Hallberg, AuD Adrianne Fazel, AuD Jacqueline Wiegers Kelsey Corcoran Audiology Grand Rounds at Henry Ford Hospital: Vestibular [Recorded Course] Course: #22061 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/1.0; BAA/1.0; CAA/1.0; CASLPA/1.0; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View Join the senior audiology staff and their students at Henry Ford Hospital in Detroit, Michigan as they highlight interesting clinical cases in a grand rounds style format. In addition to the case presentations, a live video feed will capture spontaneous questions, discussion and debate that make the department’s staff meetings lively, insightful and thought-provoking in order to facilitate clinical decision-making and best practices. This session will cover vestibular cases. For information and to register for other courses in this series please visit www.audiologyonline.com/grandrounds Course Details Presenters Gary Jacobson, PhD H. Gustav Mueller, PhD Nashville Live! Vanderbilt Audiology's Journal Club with Gary Jacobson, Ph.D. Topic: Physiologic Origins of the Caloric, cVEMP and oVEMP, and Common Diagnostic Patterns [Recorded Course] Course: #19736 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/0.1; BAA/1.0; CAA/1.0; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View The bithermal caloric test, cervical VEMP and ocular VEMP examinations assess the function of different vestibular end organs and at times even different central pathways. The origins of these responses will be discussed as well as common diagnostic patterns. Course Details Presenter Kamran Barin, PhD Identifying Site of Lesion in Different Vestibular Tests [Recorded Course] Course: #18681 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/0.1; ASHA/0.1 Intermediate, Professional; BAA/1.0; CAA/1.0; CASLPA/1.0; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View This presentation identifies the anatomical sites that are involved in various vestibular function tests and describes the clinical usefulness of each test. The tests considered in this presentation include different subtests of VNG/ENG, different types of rotation testing, different types of vestibular-evoked myogenic potentials, and the head impulse test (recorded 5/25/2011). Course Details Presenters Devin McCaslin, PhD H. Gustav Mueller, PhD A Quick Look at the Ocular Vestibular Evoked Myogenic Potential - Vanderbilt Audiology's Journal Club with Devin McCaslin, Ph.D. [Recorded Course] Course: #18429 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/0.1; BAA/1.0; CAA/1.0; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View Dr. McCaslin will review current literature related to the ocular vestibular evoked myogenic potential following a review of other audiology literature with host Dr. Gus Mueller. Course Details
